成批烧伤合并吸入性损伤伤员的远程转运

Strategies for mass burn casualties complicated with inhalation injury transferred from a distance

  • 摘要: 目的:对一批烧伤合并吸入性损伤伤员远程转运进行分析讨论。方法:总结2006年5月黑龙江某地35名不同程度烧伤合并吸入性损伤伤员,通过航空转运至北京的过程,就转运前的医疗和物资准备、转运方案、转运过程中的医疗、护理工作进行分析、总结。结果:经转运前充分准备,转运途中加强监护,全部伤员均顺利、安全转运至目的地。结论:转运前首先处理危及生命的并发症,适当放开气管切开适应证,把握好转运的时机,转运过程中对轻、重伤员进行合理放置、细致观察,加强呼吸道管理,缩短衔接间隔是保证远程转运安全实施的关键。

     

    Abstract: Objective:To sum up the experiences of strategies for mass burn casualties complicated with inhalation injury transferred from a distance.Methods:Thirty five patients complicated with inhalation injury,which occurred in north of Heilongjiang province,1600 km north to Beijing,transferred to Beijing by air successfully.The experiences was analyzed on making the transportation scheme,medical and material preparations before lift and medical care during the transportation.Results:As a result of sufficient preparations before the transportation and intensive care on the way,all the 35 patients were safely transferred to the destination.Conclusion:To treat the life-threatening complications immediately any broaden the indications of tracheotomy appropriately,grasp the optimal opportunity to carry out transportation,lay the wounded in the aircraft according to the condition of injury and ensure the severe wounded concentrated,close to the medical staffs in order to observe and treat them conveniently,shorten the links interval and arrange the whole procedure of transportation comprehensively and thoroughly are the keys to ensure the safety during the long distance transportation.

     

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